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Effectiveness of a mobility monitoring system included in the nursing care process in order to enhance the sleep quality of nursing home residents with cognitive impairment

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Abstract

Sleep disturbances are common in nursing homes residents with dementia. In this study, the use of a mobility monitoring system accompanied with case conferences was investigated in order to improve sleep quality in nursing home residents with cognitive impairment. An open two-phase randomized controlled trial was conducted at three nursing homes between November 2014 and September 2015. Residents were randomly assigned to an intervention group using the monitoring system and a control group not using the system. A 10-week period of intensive use of the monitoring system and case conferences led by an advanced nurse practitioner (Phase I) was followed by three months of reduced use of the monitoring system and case conferences led by an internal registered nurse (Phase II). Data were collected before intervention started (T0), after Phase I (T1) and after Phase II (T2). The night shift nurse in charge rated the residents’ sleep quality on a four point scale over five subsequent nights. Data from 44 residents were included in the analysis with a linear mixed model. We observed a significant interaction between the time and groups with a more pronounced increase in sleep quality in the intervention group in T1, but a decrease in T2. Sleep quality in the control group stayed almost stable (F = 3.566, p = 0.034). Results indicate that the use of the mobility monitoring system can improve the assessment of night-time mobility and activity supporting nurses in planning and implementing care interventions such as repositioning, continence care and inspection rounds.

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Authors and Affiliations

  1. Institute for Applied Nursing Science, FHS St. Gallen University of Applied Sciences, Rosenbergstrasse 59, Postfach, 9001, St. Gallen, Switzerland

    Heidrun Gattinger & Virpi Hantikainen

  2. FHS St. Gallen University of Applied Sciences, St. Gallen, Switzerland

    Stefan Ott

  3. Institute of Business Management, FHS St. Gallen University of Applied Sciences, St. Gallen, Switzerland

    Mario Stark

Authors
  1. Heidrun Gattinger
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  2. Virpi Hantikainen
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  3. Stefan Ott
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Correspondence to Heidrun Gattinger.

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Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Financial disclosure

This study was funded by the Swiss federal Commission for Technology and Innovation (grant number KTI-Nr. 16978.1 PFES-ES) and the company Compliant Concept. The funders had no role in decision to publish, or drafting of the manuscript.

Conflict of interests

All authors declare that they have no conflicts of interest.

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Gattinger, H., Hantikainen, V., Ott, S. et al. Effectiveness of a mobility monitoring system included in the nursing care process in order to enhance the sleep quality of nursing home residents with cognitive impairment. Health Technol. 7, 161–171 (2017). https://doi.org/10.1007/s12553-016-0168-9

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  • DOI: https://doi.org/10.1007/s12553-016-0168-9

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